Intuitive Surgical (XTER:IUI1) Cyclically Adjusted PB Ratio: 9.68 (As of Jul. 27, 2026) — 35% Below Median

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XTER:IUI1 Intuitive Surgical Inc XTER:IUI1
84 GF Score
Price €299.40
GF Value €544.91
Valuation Significantly Undervalued
! 1 Warning Sign
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What is Intuitive Surgical Cyclically Adjusted PB Ratio?

Intuitive Surgical XTER:IUI1 +2.96% 84 Cyclically Adjusted PB Ratio is 9.68 as of Jul. 27, 2026, which is 35% below its 10-year median of 14.98. GuruFocus rates XTER:IUI1 with a GF Score™ of 84/100 and a GF Value™ of €544.91 (Significantly Undervalued). The stock has 1 warning sign investors should review. Among 520 Medical Devices & Instruments companies, Intuitive Surgical ranks worse than 92.5% on this metric.

As of today (2026-07-27), Intuitive Surgical's current share price is €299.40. Intuitive Surgical's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 was €30.94. Intuitive Surgical's Cyclically Adjusted PB Ratio for today is 9.68.

The historical rank and industry rank for Intuitive Surgical's Cyclically Adjusted PB Ratio or its related term are showing as below:

XTER:IUI1' s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 8.57   Med: 14.98   Max: 21.23
Current: 9.65

During the past years, Intuitive Surgical's highest Cyclically Adjusted PB Ratio was 21.23. The lowest was 8.57. And the median was 14.98.

XTER:IUI1's Cyclically Adjusted PB Ratio is ranked worse than
92.5% of 520 companies
in the Medical Devices & Instruments industry
Industry Median: 1.77 vs XTER:IUI1: 9.65

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

Intuitive Surgical's adjusted book value per share data for the three months ended in Jun. 2026 was €44.561. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is €30.94 for the trailing ten years ended in Jun. 2026.

Shiller PE for Stocks: The True Measure of Stock Valuation


Intuitive Surgical  (XTER:IUI1) Cyclically Adjusted PB Ratio Explanation

Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.

If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.


Intuitive Surgical Cyclically Adjusted PB Ratio Related Terms


Intuitive Surgical Cyclically Adjusted PB Ratio Historical Data

* Premium members only.

The historical data trend for Intuitive Surgical's Cyclically Adjusted PB Ratio can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Intuitive Surgical Cyclically Adjusted PB Ratio Chart

Intuitive Surgical Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted PB Ratio
Get a 7-Day Free Trial Premium Member Only Premium Member Only 19.45 12.16 13.65 18.37 17.45

Intuitive Surgical Quarterly Data
Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26 Jun26
Cyclically Adjusted PB Ratio Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 17.68 14.10 17.45 13.63 11.37

XTER:IUI1 vs BDX, MDLN, RMD: Cyclically Adjusted PB Ratio Comparison

For the Medical Instruments & Supplies subindustry, Intuitive Surgical's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Intuitive Surgical Cyclically Adjusted PB Ratio vs Medical Devices & Instruments Industry

For the Medical Devices & Instruments industry and Healthcare sector, Intuitive Surgical's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where Intuitive Surgical's Cyclically Adjusted PB Ratio falls into.


XTER:IUI1
84GF Score
Intuitive Surgical Inc XTER:IUI1
Cyclically Adjusted PB Ratio is just one metric. See GF Score™, valuation, warning signs, and more.
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Intuitive Surgical Cyclically Adjusted PB Ratio Calculation

Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.

Intuitive Surgical's Cyclically Adjusted PB Ratio for today is calculated as

Cyclically Adjusted PB Ratio=Share Price/ Cyclically Adjusted Book per Share
=299.40/30.94
=9.68

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Intuitive Surgical's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 is calculated as:

For example, Intuitive Surgical's adjusted Book Value per Share data for the three months ended in Jun. 2026 was:

Adj_Book=Book Value per Share/CPI of Jun. 2026 (Change)*Current CPI (Jun. 2026)
=44.561/333.9520*333.9520
=44.561

Current CPI (Jun. 2026) = 333.9520.

Intuitive Surgical Quarterly Data

Book Value per Share CPI Adj_Book
201609 14.177 241.428 19.610
201612 15.685 241.432 21.696
201703 11.652 243.801 15.961
201706 12.054 244.955 16.433
201709 12.380 246.819 16.750
201712 11.986 246.524 16.237
201803 13.116 249.554 17.552
201806 14.707 251.989 19.491
201809 15.711 252.439 20.784
201812 17.091 251.233 22.718
201903 17.956 254.202 23.589
201906 18.605 256.143 24.257
201909 20.321 256.759 26.430
201912 21.372 256.974 27.774
202003 22.008 258.115 28.474
202006 22.113 257.797 28.645
202009 22.298 260.280 28.609
202012 22.654 260.474 29.045
202103 24.012 264.877 30.274
202106 25.260 271.696 31.048
202109 27.154 274.310 33.058
202112 29.445 278.802 35.270
202203 30.618 287.504 35.565
202206 31.850 296.311 35.896
202209 32.920 296.808 37.040
202212 29.782 296.797 33.510
202303 29.901 301.836 33.083
202306 31.211 305.109 34.161
202309 33.378 307.789 36.215
202312 34.638 306.746 37.710
202403 36.215 312.332 38.722
202406 38.458 314.175 40.879
202409 39.418 315.301 41.750
202412 44.011 315.605 46.569
202503 44.150 319.799 46.104
202506 43.168 322.561 44.692
202509 40.643 324.800 41.788
202512 42.866 324.054 44.175
202603 42.651 330.213 43.134
202606 44.561 333.952 44.561

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

What does a Cyclically Adjusted PB Ratio of 9.68 mean?
Intuitive Surgical (XTER:IUI1) has a Cyclically Adjusted PB Ratio of 9.68 as of Jul. 27, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Intuitive Surgical and its competitors. This is 35% below median its historical median of 14.98. Over the past decade, Intuitive Surgical's Cyclically Adjusted PB Ratio has ranged from 8.57 to 21.23. According to the industry distribution chart, Intuitive Surgical ranks #481 out of 520 companies in the Medical Devices & Instruments industry, placing it in the top 92.5%.
Is Intuitive Surgical's Cyclically Adjusted PB Ratio too high?
Intuitive Surgical's current Cyclically Adjusted PB Ratio of 9.68 is 35% below median its 10-year median of 14.98. Over the past 10 years, this metric has ranged from a low of 8.57 to a high of 21.23. The Medical Devices & Instruments industry median Cyclically Adjusted PB Ratio is 1.77. Intuitive Surgical's value of 9.68 is 446.9% above this industry median. Based on the distribution chart, Intuitive Surgical ranks #481 out of 520 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Intuitive Surgical has a GF Score™ of 84/100 and is considered Significantly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Intuitive Surgical's Cyclically Adjusted PB Ratio compare to BDX and MDLN?
According to the Medical Devices & Instruments industry distribution chart, Intuitive Surgical ranks #481 out of 520 companies for Cyclically Adjusted PB Ratio. This places Intuitive Surgical in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.77. Intuitive Surgical's value of 9.68 is 446.9% above this benchmark. Historically, Intuitive Surgical's own Cyclically Adjusted PB Ratio has ranged from 8.57 to 21.23 over the past decade. While the company's 10-year median is 14.98 vs. the industry median of 1.77, Intuitive Surgical has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Medical Devices & Instruments company?
The median Cyclically Adjusted PB Ratio among Medical Devices & Instruments companies is 1.77, based on 520 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Intuitive Surgical's current Cyclically Adjusted PB Ratio of 9.68 is 446.9% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Intuitive Surgical and its competitors. For the Medical Devices & Instruments industry, the median Cyclically Adjusted PB Ratio is 1.77 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Intuitive Surgical's current Cyclically Adjusted PB Ratio is 9.68, which is 35% below median its own 10-year median of 14.98. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Intuitive Surgical stock overvalued right now?
Based on GuruFocus' analysis, Intuitive Surgical (XTER:IUI1) is currently considered Significantly Undervalued. The stock's GF Value™ is €544.91, compared to a current price of €299.40 — trading 45.1% below its estimated fair value. The current Cyclically Adjusted PB Ratio is 9.68, which is 35% below median its 10-year median of 14.98 and 446.9% above the Medical Devices & Instruments industry median of 1.77. Intuitive Surgical's overall GF Score™ is 84/100 with 1 warning sign to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Intuitive Surgical (XTER:IUI1), the current Cyclically Adjusted PB Ratio is 9.68 as of Jul. 27, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Intuitive Surgical (XTER:IUI1) Overvalued in 2026?

Based on GuruFocus' analysis, Intuitive Surgical stock appears to be undervalued. The current stock price of €299.40 is trading 45.1% below its estimated GF Value™ of €544.91. GuruFocus considers Intuitive Surgical to be Significantly Undervalued.

Key valuation signals for XTER:IUI1:

  • Cyclically Adjusted PB Ratio: 9.68 (35% below median its 10-year median of 14.98)
  • GF Value™: €544.91 vs. price of €299.40 (45.1% below fair value)
  • GF Score™: 84/100 with 1 warning sign
  • Industry Position: 446.9% above the Medical Devices & Instruments median (#481 of 520)

No single metric tells the full story. See the XTER:IUI1 stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Intuitive Surgical Business Description

Address 1020 Kifer Road, Sunnyvale, CA, USA, 94086
Intuitive develops, produces, and markets a robotic system for assisting minimally invasive surgery. It also provides the instrumentation, disposable accessories, and warranty services for the system. The company has placed more than 10,000 da Vinci systems in hospitals worldwide, with more than 6,000 installations in the US and a growing number in emerging markets.
84GF Score

Get the complete analysis for XTER:IUI1

Cyclically Adjusted PB Ratio is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

€299.40
Price
€544.91
GF Value